MOLLANDA LAURA MAZZO AG-ACNP NPI 1801440904

NPI Information

NPI: 1801440904
Provider Name: MOLLANDA LAURA MAZZO, AG-ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1325 N LITCHFIELD RD
GOODYEAR, AZ
ZIP 85395
Phone: (623) 242-1231
Get Directions

Mollanda Laura Mazzo, AG-ACNP is an acute care nurse practitioner in Goodyear, AZ with 7 years of experience. Mollanda Laura Mazzo, AG-ACNP NPI is 1801440904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1325 N LITCHFIELD RD
GOODYEAR, AZ
ZIP 85395-228
Phone: (623) 242-1231

The NPI 1801440904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2019 and was last updated on 8/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP11152	ARIZONA	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP11152	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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